Impact: What is the impact of the work to date?
• Through the USAID funded, Sultanabad Community Health Center, 250,000 urban- slum dwellers have had access to quality primary care
• 500 women have been examined in Ante/Post Natal care visits
• Telehealth-facilitated OB/GYN consultations have led to 70+ safe hospital deliveries
• In collaboration with PPAF and HANDS- we are embarking on a pilot to train 1000 Community Health Workers on hand-held diagnostics, guided by home-based doctHERs
• Finalizing 3 MOUs with Partner Organizations to create ‘village specialist’ entrepreneurial opportunities for 3000 rural lady health workers working with DoctHERS
• Creating access to approx 9000 female physicians in Pakistan & diaspora
• Launching a Tech-enabled Community Clinic with DHA Services in Karachi
• Finalizing Media and PR outreach including a national Health TV program series
• Increase recruitment, retention and re-entry of women into workforce
• Quality and affordable health interventions for marginalized
• Positive social impact for women in context of career, family & community
Barriers: What barriers might hinder the success of your project and how do you plan to overcome them?
• Technology: We rely on connectivity and disruption of service to internet/mobile /electricity could effect services. On the service end- doctHERS are logged into a system that will allow a consultation to be re-routed to another doctHER who is online if needed. We are also testing rural feasibility with our partners and are ensuring that all centers have back-up generators and UPS devices.
• Socio-Culture Resistance: Through mentorship, success stories & ambassadors- create awareness via targeted mediums: women’s morning shows, social media, speaking engagements, Radio, Print
• Professional: Current medical establishment may feel threatened by sudden influx of home-based female doctHERs & disruptive innovations. May try lobbying government for additional regulations/licensing procedures for such practitioners. Low perceived risk given huge mismatch in demand/supply of healthcare
• Trust: Skepticism for new idea in market. Work with existing providers to establish credibility
• Data Security/Integration: Work with IT partners to ensure data security following global standards
Full Impact Potential: What are the main spread strategies moving forward? (Please consider geographic spread, policy reform, and independent replication/adoption of the idea or other mechanisms.)
Supply: Build global network of home-based dithers with initial focus on countries richly populated by Pakistanis. This global network can be scaled to include female doctHERS from countries in MENA (and their corresponding diaspora populations) who are currently excluded from professional workforce.
Demand: Challenges that low-income Pakistani women face in accessing health care are similar to those of women in many countries in MENA. We anticipate that the launch of doctHERs-in-the-house in the UAE & Saudi Arabia will create similar demand for services in other MENA countries which will lead to replication in relevant countries.
Policy Reform: doctHERs–in-the-house will lobby MENA governments to reimburse for healthcare services provided (directly/indirectly via phone/video and/or assisted by CHWs) & to subsidize payments on behalf of ultra-poor patients.